COLUMBIA NEPHROLOGY ASSOCIATES PA
NPI 1407821721
Specialist in Columbia, SC
About Columbia Nephrology Associates Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLUMBIA NEPHROLOGY ASSOCIATES PA (NPI 1407821721) is a healthcare organization registered as a specialist in Columbia, South Carolina and active in the NPI registry since February 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 23, 2028 and lists Carl B Shealy, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Columbia Nephrology Associates Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Columbia Nephrology Associates PA, which bills Medicare for the services they deliver. Of these, 21 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 36Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 42D0687782
Columbia Nephrology Associates, PA · Columbia, SCCertificate of Waiver 42D2157360
Columbia Nephrology Associates, PA · West Columbia, SCFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Columbia Nephrology Associates PA's NPI number?
The NPI number for Columbia Nephrology Associates PA is 1407821721. It was assigned to this organization in the NPPES registry on February 21, 2006.
Where is Columbia Nephrology Associates PA located?
Columbia Nephrology Associates PA is located at 121 Park Central Dr 200, Columbia, SC 29203. The listed phone number is (803) 252-9907.
What is Columbia Nephrology Associates PA's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Columbia Nephrology Associates PA enrolled in Medicare?
Yes. Columbia Nephrology Associates PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Columbia Nephrology Associates PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 4 Medicare specialties reassign their Medicare billing to Columbia Nephrology Associates PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (21), Nurse Practitioner (13) and General Surgery (1). Of these, 21 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Columbia Nephrology Associates PA hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 42D0687782) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Columbia Nephrology Associates PA accept?
Health plans from BlueCross BlueShield of South Carolina and First Choice Next list Columbia Nephrology Associates PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Columbia Nephrology Associates PA was last updated on December 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Columbia Nephrology Associates Pa · NPI 1407821721
Specialist organization in Columbia, South Carolina. Organization record, active in the CMS NPPES registry since February 21, 2006.
## Identity
- **NPI:** 1407821721 (Entity type: Organization)
- **Enumerated:** February 21, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Carl Shealy, PRESIDENT
## Practice location
- **Address:** 121 PARK CENTRAL DR, 200, Columbia, SC 29203-6469
- **Phone:** (803) 252-9907 · **Fax:** (803) 252-9906
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 36 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nephrology (21), Nurse Practitioner (13), General Surgery (1); 21 practice within 10 miles; [full list](https://npiprofile.com/npi/1407821721/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 11, 2018
- **Other identifiers:** Medicaid PA2773 (SC)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407821721) · Data from the CMS NPPES public registry.